Register for Yoga Class

 

Below is an application yoga classes or meditation classes. Depending on your browser you may need to use the printable version at the link below

You can mail in your check to:

Inner Peace Yoga Center

5038 E. 56th St

Indianapolis, IN 46226

Or, you may also pay with VISA, MASTER CARD and DISCOVER

Use this printable PDF file version of Registration Form

NAME________________________________________________________
ADDRESS_____________________________________________________
CITY_____________________________STATE_________ZIP___________
PHONE (h)__________________(w)________________(cell)____________
EMAIL (optional)________________________________________________
1st Class Choice: Level___________________Day________Time_________
2nd Class Choice: Level___________________Day_________Time_________
Known physical limitations_________________________________________

In consideration for permission to participate in, today and on all
future dates,yoga instruction and classes at Inner Peace Yoga Center
I, the undersigned, expressly agree:

1. That I am physically sound to proceed with instruction in yoga. I
hereby assume any and all risks involved in the exercise and instruction
of yoga, including, without limitation, physical injury.

2. TO RELEASE Inner Peace Yoga Center and any of its owners, employees and
agents from, and AGREE NOT TO SUE ANY OR ALL OF THEM on account of or
in connection with any claims, causes of action, injuries, damages,
costs or expenses arising out of my participation in yoga classes or
lessons, or my presence upon the premises of Inner Peace Yoga Center,
including, but not limited to those based on bodily injury, whether or
not caused by the negligence or other fault of Inner Peace Yoga Center.

3. I also understand my deposit and tuition are non-refundable and neither
may be applied toward any future semester. I HAVE READ AND UNDERSTOOD
THIS AGREEMENT. I UNDERSTAND THAT BY MAKING AND SIGNING THIS AGREEMENT,
I SURRENDER VALUABLE RIGHTS, INCLUDING, BUT NOT LIMITED TO, MY RIGHT TO
SUE. I DO SO FREELY AND VOLUNTARILY.

Signature_______________________________________________________  Date________